Provider Demographics
NPI:1922370188
Name:YEN, DANIEL D (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:D
Last Name:YEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3231 N DECATUR BLVD STE 116
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130-3267
Mailing Address - Country:US
Mailing Address - Phone:702-685-8776
Mailing Address - Fax:877-669-1370
Practice Address - Street 1:3231 N DECATUR BLVD STE 116
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-3267
Practice Address - Country:US
Practice Address - Phone:702-685-8776
Practice Address - Fax:877-669-1370
Is Sole Proprietor?:No
Enumeration Date:2012-02-03
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32168111N00000X
NVB01459111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor